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www.ahrq.gov/research/findings/studies/index.html?page=444
January 01, 2024 - Keywords: Critical Care, Hospital Discharge, Home Healthcare, Stroke
Samwald M , Minarro Gimenez … Keywords: Intensive Care Unit (ICU), Chronic Conditions, Critical Care
Singh H , Sittig DF … Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. … Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. … The purpose of this study was to evaluate the use of class Ic and class III antiarrhythmic drugs (AAD
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www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
January 01, 2024 - iii. … cost of claims that did not involve error; (ii) claims
alleging a breach of informed consent; and (iii … Results of the Harvard Medical Practice Study III. New Eng J
Med. 1991;325:245-51
10. … To err is human: building a safer health system.
Washington, DC: Institute of Medicine, 2000.
17. … To err is human: building a safer health system.
Washington, DC: Institute of Medicine, 2000.
38.
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www.ahrq.gov/sites/default/files/2024-11/williams-galimbertti-report.pdf
January 01, 2024 - PURPOSE
The purpose of this conference was to address the critical issue of
accurately assessing the … iii. … Porter, from the Children’s Hospital Boston, MA,
presented the HIT project “Parent Link: Better and Safer … iii. … guidelines for acute myocardial infarction
and community-acquired pneumonia in Washington states’
critical
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www.ahrq.gov/patient-safety/reports/hotline/conclusios6.html
May 01, 2016 - Hotline Design and Development
III. Hotline Implementation and Refinement
IV. … AHRQ is tasked by Congress to produce evidence to make patient care safer and to ensure that such evidence … Critical for research.
Not necessary for patient safety improvement. … Critical for understanding whether reported information is unique to the hotline and how the partner … Critical to patient safety improvement.
Not necessary for public monitoring.
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www.ahrq.gov/cpi/about/timeline/index.html
March 01, 2025 - milestones that illustrate AHRQ's instrumental role in nurturing research initiatives that address critical … PBRNs serving over 24 million patients. 2001 AHRQ publishes the evidence report Making Healthcare Safer … : A Critical Analysis of Patient Safety Practices. … AHRQ releases Making Healthcare Safer III , a new report identifying 47 patient safety practices, which
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/guides/guide-infection-prevention.pdf
March 01, 2017 - Standard Precaution: RESIDENT PLACEMENT
KEY MESSAGES
▪ Good communication among all staff is critical … As a result, it’s critical
that they be regularly cleaned. … Outbreak Management
KEY MESSAGES
▪ Quick identification of clusters of infections is critical … Long-Term Care: HAIs/CAUTI
COMMUNICATION TIPS
▪ Ask your supervisor how to help make resident care safer … ▪ Share ideas with your supervisor for making resident care safer.
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www.ahrq.gov/sites/default/files/2024-05/johnson-ying-report.pdf
January 01, 2024 - at the emergency department (ED), nearly every patient undergoes a triage
assessment, which is the critical … Triage is the
critical beginning of the treatment cascade (Wolf, 2010), and completion of the
assessment … interruption and decide to i) ignore interruption, ii) acknowledge but delay servicing
interruption, or iii … To Err Is Human: Building a
Safer Health System.
6. ENA (2010). … To err is human: Building a safer
health system. Washington, D.C.: National Academy Press.
10.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/pharmlitqi/slidedeck3/slidedeck3.pptx
March 01, 2011 - Health Literacy
Assessment of Pharmacy (cont’d)
The assessment tool was designed to capture three critical … be completed by objective, trained auditors
Part II: A survey to be completed by pharmacy staff
Part III … SOURCE: Jacobson KL, et al. (2007).
22
The assessment tool was designed to capture three critical … Part III: A guide for focus groups with pharmacy patients – the focus group is intended to capture the … Kohn L T, Corrigan J M., Donaldson MS (Institute of Medicine) To err is human: building a safer health
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a1_pdi_intro.pdf
January 01, 1993 - AHRQ’s mission is to:
• Invest in research and evidence to make health care safer and improve quality … • Dependence: Parents and other caregivers play a critical role in children’s health care. … Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool A.1 iii
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www.ahrq.gov/sites/default/files/2024-01/scott-report.pdf
January 01, 2024 - To err is human: building a safer health system. … Making Health Care Safer: A Critical Analysis of Patient Safety Practices. … the American College of Surgeons (ACS)/Association
of Program Directors in Surgery (APDS) for Phase III … Phase III is expected for release in
spring 2009; hence, widespread distribution will be facilitated … Surgery (APDS)/American College of Surgeons
14
(ACS) National Surgical Skills Curriculum Phase III
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/leadership-brief/ts-leadershipbrief.pptx
January 01, 2013 - To err is human: building a safer health system. … The human factor: the critical importance of effective teamwork and communication in providing safe care … , and Implementation
Plan to sustain the effort
Train individuals
Implement and test the strategies
III … Phase III — Sustainment (Make It Stick)
This phase is designed to sustain and spread the improvements … We’ll focus on the leadership and staff members who are critical to our success.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/scott-report.pdf
September 29, 2008 - To err is human: building a safer health system. … Making Health Care Safer: A Critical Analysis of Patient Safety Practices. … the American College of Surgeons (ACS)/Association
of Program Directors in Surgery (APDS) for Phase III … Phase III is expected for release in
spring 2009; hence, widespread distribution will be facilitated … Surgery (APDS)/American College of Surgeons
14
(ACS) National Surgical Skills Curriculum Phase III
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www.ahrq.gov/cpi/about/20timeline.html
March 01, 2020 - for Men and Women in 2014.
2001
AHRQ publishes the evidence report Making Healthcare Safer … : A Critical Analysis of Patient Safety Practices . … AHRQ releases Making Healthcare Safer III , a new report identifying 47 patient safety practices, which
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www.ahrq.gov/downloads/pub/advances2/vol3/advances-king_1.pdf
April 07, 2008 - Phase III: Sustainment—Make it stick. … The goal of Phase III is to sustain and spread
improvements in teamwork performance, clinical processes … Trauma:
Resuscitation, anesthesia, surgery, and critical care. … Making health care safer: A critical analysis of patient
safety practices. … Making health care safer: A critical analysis
of patient safety practices.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-King_1.pdf
April 07, 2008 - Phase III: Sustainment—Make it stick. … The goal of Phase III is to sustain and spread
improvements in teamwork performance, clinical processes … Trauma:
Resuscitation, anesthesia, surgery, and critical care. … Making health care safer: A critical analysis of patient
safety practices. … Making health care safer: A critical analysis
of patient safety practices.
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www.ahrq.gov/sites/default/files/2024-01/thomas1-report.pdf
January 01, 2024 - We also hope this will constitute a critical step toward reducing the amount
of time patients spend … DL, Sherner III JH, Fitzpatrick TM, et al. … Critical care clinicians’ knowledge of evidence-
based guidelines for preventing ventilator-associated … Critical care nurses’ knowledge of evidence-based
guidelines for preventing ventilator-associated pneumonia … To err is human: Building a safer health system.
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www.ahrq.gov/innovations/will-work/appendix3.html
February 01, 2021 - Module III: Can We Do It Here?
Module IV: How Will We Do It Here? … had recently completed a 4-month pilot project on the use of these rounds on its three pediatric non-critical-care … to take better care of their children by giving them better information and we wanted them to feel safer … fruition, residents and nurse champions made two trips to Cincinnati Children’s, where a new model of safer … Assessing the success in implementing family-centered rounds by measuring the extent of completion of critical-activity
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/thomas-report.pdf
June 30, 2015 - We also hope this will constitute a critical step toward reducing the amount
of time patients spend … DL, Sherner III JH, Fitzpatrick TM, et al. … Critical care clinicians’ knowledge of evidence-
based guidelines for preventing ventilator-associated … Critical care nurses’ knowledge of evidence-based
guidelines for preventing ventilator-associated pneumonia … To err is human: Building a safer health system.
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www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
January 01, 2025 - Student
Riley Graham Medical Student
Perrin Griffin Medical Student
Johns Hopkins
James Abernathy, III … For example, although barcode scanning might lead
to safer intravenous drug administration, it can increase … (iii) allow you to adapt and reconfigure your workspace to your needs? … Abernathy
III. (2023) Creation of a SEIPS 101 Tasks and Tools Matrix on Anesthesia Medication Delivery … Abernathy III, K. Catchpole, C. Lusk,
J.
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www.ahrq.gov/teamstepps/instructor/fundamentals/module1/m1evidencebase.html
March 01, 2014 - such training has been found to account for 20 percent of the variance in team performance. 9
The critical … To err is human: building a safer health system. … Trauma: resuscitation, anesthesia, surgery, and critical care: New York: Dekker; 2004. p. 101-13. … Collins DB, Holton EF III. … The anatomy of health care team training and the state of practice: a critical review.